Anthony Bared, M.D. is a board-certified otolaryngologist head and neck surgeon and a fellowship-trained facial plastic surgeon. Since 2012, he has practiced with Dr. Epstein, regularly performing primary and revision rhinoplasty, with particular expertise in challenging cases that require rib grafting and other complex techniques- in fact, Dr. Epstein refers some of his patients to Dr. Bared, not only because of his experience with using rib grafts, but also because he accepts certain insurance plans (unlike Dr. Epstein) and provides an outstanding less-costly alternative. After completing his undergraduate education at Vanderbilt University, graduating Summa Cum Laude and being inducted into the Phi Beta Kappa honor society, he went on to graduate from the University of Miami School of Medicine where he was inducted into the prestigious medical honor society, Alpha Omega Alpha. He received his training in otolaryngology and head and neck surgery from the University of Miami. Dr. Bared’s surgical passion lies within the challenging field of rhinoplasty. His passion for the surgery led him to pursue and become accepted into a very selective fellowship program at the University of Illinois at Chicago where he was mentored under Dr. Dean M. Toriumi, M.D., a world-renown leader in rhinoplasty and revision rhinoplasty. Dr. Bared has numerous publications in the medical literature on the subject of rhinoplasty techniques. He is an invited lecturer at medical meetings for his work in rhinoplasty and revision rhinoplasty. Dr. Bared has a particular interest in the most challenging rhinoplasty cases and nasal deformities such the crooked nose, the saddle nose, and the cleft nose.
Dr. Bared’s approach to rhinoplasty
Dr. Bared’s utmost priority is to achieve natural-appearing results in rhinoplasty by utilizing the most modern techniques which have shown to be effective in producing long lasting results. Rhinoplasty is considered to be the most challenging of all facial plastic surgery procedures. The inherent challenge of rhinoplasty lies in the anatomical differences in each individual. Dr. Bared tailors each procedure to the patient’s anatomy and skin thickness. Typically, in primary cases, he uses cartilage from the septum which is the cartilage that divides both sides of the nose. He reshapes the nose using one’s own cartilage, avoiding the use of any artificial implants. Dr. Bared strategically places cartilage grafts to accomplish life-long support for the nose. These cartilage grafts may be in the form of tip support grafts or grafts which support the bridge of the nose. The purpose of the cartilage grafts are to prevent compromise of the long term shape and function of the nose. After any rhinoplasty, whether in the ‘closed’ or ‘open’ approach, it is inevitable that the skin of the nose heals and contracts with time. The contraction of the skin is expected and due to the normal healing which transpires after surgery. If the underlying shape of the nose is not adequately supported, then too many variables are left to the healing process—the tip may eventually appear pinched or upturned, the middle part of the bridge may appear overly narrowed, the dorsum may take on an overly scooped appearance, and breathing problems may ensue. These are all telltale signs of a rhinoplasty which Dr. Bared avoids in his patients. Dr. Bared’s approach is to reshape and refine the patient’s existing anatomy in order to make it more harmonious and in balance with the overall facial features while improving or maintaining the nose’s primary function of the unobstructed passage of air.
Special interest in the challenging nasal cases
As a board-certified facial plastic surgeon and nasal specialist, Dr. Bared dedicates the majority of his practice to rhinoplasty and has a special interest in helping patients with challenging nasal cases. One of Dr. Bared’s main areas of expertise and research is in the use of rib cartilage for the challenging nasal surgeries. It is often found that patients with significant nasal deformities or breathing problems do not have enough existing cartilage in the nose needed in their case. In these more challenging cases, it is often necessary to use cartilage from either the ear or the rib. Dr. Bared’s background as an otolaryngologist and facial plastic surgeon with special experience in the complex nasal cases, affords him an expertise in the challenging cases related to either previous surgery, birth-related deformities of the nose, nasal deformities secondary to trauma, or nasal deformities related to medical conditions. Dr. Bared is an invited speaker at international plastic surgery meetings where he presents his techniques on the use of rib cartilage for the complex nasal case to other plastic and facial plastic surgery colleagues.